Provider Demographics
NPI:1568224582
Name:CA PSYCHIATRY SERVICES LLC
Entity Type:Organization
Organization Name:CA PSYCHIATRY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GERMAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:SERRANO CRUET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-219-8346
Mailing Address - Street 1:PO BOX 800859
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-0859
Mailing Address - Country:US
Mailing Address - Phone:787-905-0968
Mailing Address - Fax:
Practice Address - Street 1:2905 AVE FAGOT
Practice Address - Street 2:LOCAL B
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716
Practice Address - Country:US
Practice Address - Phone:787-219-8346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty